NPI | 1023210945 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H70799) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OT011574) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2011-06-03 |